| NPI | 1306026075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA K. BAKER Clinical Counselor 505-486-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-06619) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |